2023-05-102022/23:SoU12 · p.18SoUHealth & social services
Equitable care
Gender-equal healthcare
What's at stake: The issue concerns whether regions should be required to systematically report on and address differences in care quality between women and men. Without clear follow-up requirements, inequalities in care risk remaining invisible.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
Whether a new initiative was needed to strengthen gender equality in healthcare, including a requirement for sex-disaggregated statistics, or whether the matter was already addressed by an earlier directive.
Yes Yes — the committee proposal
The Committee referred to the directive on gender-equal healthcare that parliament had already issued to the government and found that the motions did not warrant any further parliamentary initiative. The motions were rejected.
No No — the reservations
Reservation 31 (V, MP)
V and MP held that all regions should report on how gender-equal their healthcare is and ensure that sex-disaggregated statistics are available, and should strengthen their work on equal rights in care. The parties wanted the government to take action accordingly.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 31 by V, MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: KDKristdemokraterna, LLiberalerna
Ja 247–35Ja 218–64
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/21/0/3 | match | confidence: high | explicit |
| S | No | Yes 94/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | No 0/14/0/4 | match | confidence: high | explicit |
| C | No | Abstain 0/0/21/3 | differs | confidence: high | not addressed |
| L | No | Yes 14/0/0/2 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 15/0/0/4 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 63/0/0/9 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2022/23:905 by Anders W Jonsson et al. (C) amendments 64 and 66, 2022/23:922 by Linda Lindberg et al. (SD) amendment 1, 2022/23:1673 by Annie Lööf et al. (C) amendments 122 and 123 and 2022/23:2277 by Märta Stenevi et al. (MP) amendments 47 and 48.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:905 av Anders W Jonsson m.fl. (C) yrkandena 64 och 66, 2022/23:922 av Linda Lindberg m.fl. (SD) yrkande 1, 2022/23:1673 av Annie Lööf m.fl. (C) yrkandena 122 och 123 samt 2022/23:2277 av Märta Stenevi m.fl. (MP) yrkandena 47 och 48.
Riksdag decision: The Riksdag rejected approximately 120 proposals in motions from the regular motion period 2022 on the organization of health and medical services. The Riksdag refers, among other things, to ongoing work. The motions concern, among other things, primary care, choice of provider and freedom of choice as well as accessibility.
Counter-proposals
- The counter-proposal wants the state not to take over the primary responsibility for healthcare and medical services. (V, MP) — Reservation 31
Plan vs actual vote
Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.
The election manifesto explicitly demands that healthcare shall be equitable, equal and accessible regardless of who you are, and states that this is not the case today.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly demands that healthcare shall be equitable, equal and accessible regardless of who you are, and states that this is not the case today. The party programme establishes that policy must not be gender-blind and that knowledge about LGBTQ issues must increase within healthcare. The counter-proposal's demands for reporting on gender equality in healthcare, gender-disaggregated statistics and strengthened work for equal rights are the means for exactly this.
Original (Swedish)
Valmanifestet kräver uttryckligen att sjukvården ska vara jämlik, jämställd och tillgänglig oavsett vem du är, och konstaterar att så inte är fallet i dag. Partiprogrammet slår fast att politiken inte får vara könsblind och att kunskaperna i hbtq-frågor måste öka inom vården. Motförslagets krav på redovisning av jämställdheten i vården, könsuppdelad statistik och stärkt arbete för lika rättigheter är medlen för just detta.
- gender-equal healthcaredecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är. Så är det inte idag.« (2022 manifesto ↗)“Healthcare must be equitable, equal and accessible, regardless of where in the country you live and regardless of who you are. That is not the case today.”
- policy must not be gender-blind»Politiken får inte vara könsblind« (party programme ↗)“Policy must not be gender-blind”
- equal rights in healthcare»Inom utbildning, vård, näringsliv och rättsväsende måste kunskaperna i hbtq-frågor öka.« (party programme ↗)“Within education, healthcare, business and the justice system, knowledge about LGBTQ issues must increase.”
- women's health problems are neglected»Stressrelaterade sjukdomar blir allt vanligare och psykisk ohälsa ökar särskilt bland kvinnor och hos unga utan att det leder till utbyggd vård eller förändrad arbetsmiljö.« (2022 manifesto ↗)“Stress-related illnesses are becoming increasingly common and mental health problems are increasing especially among women and young people without leading to expanded healthcare or changed working conditions.”
The party programme is explicitly feminist and bases its analysis on the fact that inequality is visible in statistical correlations, among other things that certain groups receive worse healthcare than others.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme is explicitly feminist and bases its analysis on the fact that inequality is visible in statistical correlations, among other things that certain groups receive worse healthcare than others. The requirement for equal access to healthcare for all residents in the whole country is fundamental. That regions report how gender-equal healthcare is and ensure gender-disaggregated statistics is precisely the data that the plan's equality analysis requires.
Original (Swedish)
Partiprogrammet är uttryckligen feministiskt och bygger sin analys på att ojämlikheten syns i de statistiska sambanden, bland annat att vissa grupper får sämre vård än andra. Kravet på likvärdig tillgång till vård för alla invånare i hela landet är grundläggande. Att regioner redovisar hur jämställd vården är och säkerställer könsuppdelad statistik är just det underlag planens jämlikhetsanalys förutsätter.
- feminist politicsdecisive»Med denna grundsyn är socialdemokratin ett feministiskt parti.« (party programme ↗)“With this fundamental view, Social Democracy is a feminist party.”
- statistics reveal inequality»Det syns i de statistiska sambanden.« (party programme ↗)“It is visible in statistical correlations.”
- equal healthcare for all»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents in the whole country shall have equal access to school, healthcare and care.”
- gender equality as a value»Starka värderingar om jämlikhet, jämställdhet och en respekt mellan människor.« (2022 manifesto ↗)“Strong values of equality, gender equality and respect between people.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The party programme states that a gender and equality perspective shall permeate all healthcare and treatment and that equal care regardless of gender should be a matter of course, with the explicit observation that women often wait longer for treatment.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme states that a gender and equality perspective shall permeate all healthcare and treatment and that equal care regardless of gender should be a matter of course, with the explicit observation that women often wait longer for treatment. The counter-proposal's requirement for reporting on equality in healthcare, gender-disaggregated statistics and strengthened work for equal rights is a direct application of this. The plan also favours systematic statistics to illuminate inequality.
Original (Swedish)
Partiprogrammet slår fast att ett genus- och jämlikhetsperspektiv ska genomsyra all vård och omsorg och att likvärdig vård oberoende av kön borde vara en självklarhet, med den uttryckliga iakttagelsen att kvinnor ofta får vänta längre på behandling. Motförslagets krav på redovisning av jämställdheten i vården, könsuppdelad statistik och stärkt arbete för lika rättigheter är en direkt tillämpning av detta. Planen förordar också systematisk statistik för att belysa ojämlikhet.
- gender perspective in all healthcaredecisive»ett genus- och jämlikhetsperspektiv ska genomsyra all vård och omsorg.« (party programme ↗)“a gender and equality perspective shall permeate all healthcare and treatment.”
- equal care regardless of gender»Likvärdig vård oberoende av kön och socioekonomiska faktorer borde vara en självklarhet.« (party programme ↗)“Equal care regardless of gender and socioeconomic factors should be a matter of course.”
- women disadvantaged in healthcare»Kvinnor får ofta vänta längre på viktiga behandlingar och har sämre tillgång till speciellt dyra behandlingsmetoder.« (party programme ↗)“Women often wait longer for important treatments and have worse access to especially expensive treatment methods.”
- statistics as tool»ta fram systematisk statistik för att belysa diskriminering och rasism i samhället.« (2022 manifesto ↗)“produce systematic statistics to illuminate discrimination and racism in society.”
flags: citat_migrerat
The plan establishes that women and men must receive equally good care and that Sweden must be led towards more gender-equal healthcare, among other things through strengthened gender medicine expertise throughout the care chain.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan establishes that women and men must receive equally good care and that Sweden must be led towards more gender-equal healthcare, among other things through strengthened gender medicine expertise throughout the care chain. Regions reporting how gender-equal care is and ensuring gender-disaggregated statistics is a means of fulfilling that commitment. The plan also requires that shared systems give women and men equal opportunities.
Original (Swedish)
Planen slår fast att kvinnor och män ska få lika bra vård och att Sverige ska ledas mot en mer jämställd sjukvård, bland annat genom stärkt genusmedicinsk kompetens i hela vårdkedjan. Att regionerna redovisar hur jämställd vården är och säkrar könsuppdelad statistik är ett medel för att uppfylla det åtagandet. Planen kräver också att de gemensamma systemen ger kvinnor och män samma möjligheter.
- gender-equal healthcaredecisive»Kvinnor och män ska få lika bra vård. Det borde vara en självklarhet.« (2022 manifesto ↗)“Women and men must receive equally good care. That should be a matter of course.”
- gender medicine expertise»Vi vill inrätta ett nationellt forskningsprogram om kvinnosjukdomar och stärka den genusmedicinska kompetensen i hela vårdkedjan.« (2022 manifesto ↗)“We want to establish a national research programme on women's diseases and strengthen gender medicine expertise throughout the care chain.”
- lead towards gender-equal healthcare»Vi ska leda Sverige till en mer jämställd sjukvård.« (2022 manifesto ↗)“We must lead Sweden towards more gender-equal healthcare.”
- gender-equal shared systems»Våra gemensamma system måste därför vara så uppbyggda att flickor och pojkar, kvinnor och män, har« (party programme ↗)“Our shared systems must therefore be structured so that girls and boys, women and men, have”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The party programme explicitly requires that the equality perspective is developed in healthcare, that all health-related statistics are analyzed from a gender perspective and that knowledge about differences between women's and men's disease patterns is improved.
Plan documents: party programme
Reasoning and quotes
The party programme explicitly requires that the equality perspective is developed in healthcare, that all health-related statistics are analyzed from a gender perspective and that knowledge about differences between women's and men's disease patterns is improved. The counter-proposal's requirement for reporting on healthcare equality and ensured access to gender-disaggregated statistics is precisely this. The plan furthermore wants to make comparisons between healthcare providers easier and establishes that healthcare shall be equitable regardless of gender.
Original (Swedish)
Partiprogrammet kräver uttryckligen att jämställdhetsperspektivet utvecklas i hälso- och sjukvården, att all vårdrelaterad statistik analyseras ur ett genusperspektiv och att kunskapen om skillnader mellan kvinnors och mäns sjukdomsbilder förbättras. Motförslagets krav på redovisning av vårdens jämställdhet och säkrad tillgång till könsuppdelad statistik är just detta. Planen vill dessutom göra jämförelser mellan vårdgivare enklare och slår fast att vården ska vara jämlik oavsett kön.
- gender analysis of health statisticsdecisive»Jämställdhetsperspektivet ska utvecklas i hälso- och sjukvården. All vårdrelaterad statistik ska analyseras ur ett« (party programme ↗)“The equality perspective shall be developed in healthcare. All health-related statistics shall be analyzed from a”
- knowledge about gender differences in care»Kunskapen om skillnader mellan kvinnors och mäns sjukdomsbilder måste förbättras och« (party programme ↗)“Knowledge about differences between women's and men's disease patterns must be improved and”
- equitable care regardless of gender»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder, ekonomi« (party programme ↗)“Healthcare shall be equitable. Everyone has the right to good care and services regardless of background, gender, age, economic”
- open comparisons in healthcare»Patientinformationen ska utvecklas och vara tillgänglig via nätet så att det blir enklare att göra jämförelser« (party programme ↗)“Patient information shall be developed and be accessible online so that comparisons become easier”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan explicitly requires that healthcare consciously takes account of differences between women and men and that medicine and healthcare research are directed at both sexes.
Plan documents: party programme
Reasoning and quotes
The plan explicitly requires that healthcare consciously takes account of differences between women and men and that medicine and healthcare research are directed at both sexes. Regions reporting on how equal healthcare is and ensuring sex-disaggregated statistics is the monitoring tool that makes this possible. The plan furthermore requires that the equality perspective permeates all policy areas and that healthcare is equitable.
Original (Swedish)
Planen kräver uttryckligen att vården medvetet beaktar skillnader mellan kvinnor och män och att läkemedels- och vårdforskning inriktas på båda könen. Att regioner redovisar hur jämställd vården är och säkerställer könsuppdelad statistik är det uppföljningsverktyg som gör detta möjligt. Planen kräver dessutom att jämställdhetsperspektivet genomsyrar alla politikområden och att vården är jämlik.
- healthcare shall consider gender differencesdecisive»Vården måste medvetet beakta skillnader mellan« (party programme ↗)“Healthcare must consciously take account of differences between”
- research on both women and men»Såväl läkemedels- som vårdforskning måste« (party programme ↗)“Both medicine and healthcare research must”
- equality in all policy areas»Jämställdhetsperspektivet ska genomsyra alla politikområden.« (party programme ↗)“The equality perspective shall permeate all policy areas.”
- equitable healthcare»Vården ska vara jämlik och tillgänglig för hela« (party programme ↗)“Healthcare shall be equitable and accessible to all”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The election manifesto makes clear that women should not have to express more pain to receive the same treatment as men and notes that women receive later diagnosis and poorer access to new medicines.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto makes clear that women should not have to express more pain to receive the same treatment as men and notes that women receive later diagnosis and poorer access to new medicines. The plan wants to address this with strengthened research and structured working methods, which requires monitoring and gender-disaggregated data. Requiring regions to report on how gender-equal healthcare is therefore aligns with the plan's commitment.
Original (Swedish)
Valmanifestet slår fast att kvinnor inte ska behöva ge uttryck för mer smärta för att få samma behandling som män och konstaterar att kvinnor får senare diagnos och sämre tillgång till nya läkemedel. Planen vill åtgärda detta med stärkt forskning och strukturerade arbetssätt, vilket förutsätter uppföljning och könsuppdelade data. Att kräva att regioner redovisar hur jämställd vården är ligger därför i linje med planens åtagande.
- gender-equal treatment in healthcaredecisive»Kvinnor ska inte behöva ge uttryck för mer smärta och lidande för att få samma behandling som män.« (2022 manifesto ↗)“Women should not have to express more pain and suffering to receive the same treatment as men.”
- demonstrated unequal healthcare»Kvinnor får senare diagnos, sämre tillgång till nya läkemedel och det tar längre tid till dess att behandlingar sätts in.« (2022 manifesto ↗)“Women receive later diagnosis, poorer access to new medicines and it takes longer for treatments to be initiated.”
- knowledge about women's diseases»Stärka forskningen gällande sjukdomar som drabbar kvinnor« (2022 manifesto ↗)“Strengthen research on diseases that affect women”
- monitoring and structured data»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve the ability to make earlier diagnoses, inter alia with the help of digital decision support and structured working methods such as risk profiling”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan wants to work toward gender-equal care where men and women are treated equally and everyone is treated equally in the regions' operations, with childbirth injuries as an explicit example.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to work toward gender-equal care where men and women are treated equally and everyone is treated equally in the regions' operations, with childbirth injuries as an explicit example. That regions report how gender-equal care is and ensure gender-disaggregated statistics is a monitoring tool for that goal. However, the plan rejects measures aimed at equal outcomes at group level, which limits support.
Original (Swedish)
Planen vill verka för en jämställd vård där män och kvinnor behandlas lika och att alla bemöts likvärdigt i regionernas verksamheter, med förlossningsskador som uttalat exempel. Att regionerna redovisar hur jämställd vården är och säkrar könsuppdelad statistik är ett uppföljningsverktyg för det målet. Planen avvisar däremot åtgärder som syftar till lika utfall på gruppnivå, vilket begränsar stödet.
- gender-equal caredecisive»Sverigedemokraterna vill verka för en jämställd vård där män och kvinnor behandlas lika.« (2022 manifesto ↗)“Sweden Democrats want to work toward gender-equal care where men and women are treated equally.”
- equal treatment»Alla människor ska bemötas likvärdigt i landstingens och regionernas verksamheter.« (party programme ↗)“All people shall be treated equally in county councils and regions' operations.”
- women's healthcare needs taken seriously»Förlossningsskador ska exempelvis tas på lika stort allvar som andra skador.« (2022 manifesto ↗)“Childbirth injuries should for example be taken just as seriously as other injuries.”
- against outcome equality»Riktig jämställdhet nås inte genom att vidta politiska åtgärder för att på gruppnivå skapa samma utfall mellan män och kvinnor, utan genom att ta krafttag mot samhällsfenomen som begränsar den enskilde.« (2022 manifesto ↗)“True equality is not achieved through political measures to create the same outcomes between men and women at group level, but through taking decisive action against social phenomena that limit the individual.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
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Sources and documents
- The committee report on riksdagen.se (2022/23:SoU12)
- Committee report full text (HA01SoU12)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:1102 — Lex Rebecka av Ann-Sofie Alm (M)
- Motion 2022/23:111 — Huvudmannaskap för specialistsjukvården av Saila Quicklund (M)
- Motion 2022/23:1121 — Fler företag, fler jobb och stärkt konkurrenskraft i hela landet av Elisabeth Thand Ringqvist m.fl. (C)
- Motion 2022/23:1141 — En tillgänglig sjukvård i världsklass av Linda Lindberg m.fl. (SD)
- Motion 2022/23:1182 — Begränsning av bemanningsföretagen i vården av Peder Björk och Peter Hedberg (båda S)
- Motion 2022/23:1229 — En förbättrad och jämlik barnhälsa av Karin Rågsjö m.fl. (V)
- Motion 2022/23:1232 — En funktionsrättspolitik för trygghet och delaktighet av Maj Karlsson m.fl. (V)
- Motion 2022/23:1234 — En hälso- och sjukvård för jämlikhet och jämställdhet i hela landet av Nooshi Dadgostar m.fl. (V)
- Motion 2022/23:1286 — Bemanningsföretagens effekter på den svenska sjukvården av Adrian Magnusson (S)
- Motion 2022/23:1499 — Barns och ungas psykiska hälsa av Lili André och Cecilia Engström (båda KD)
- Motion 2022/23:1502 — Öläge av Hanna Westerén (S)
- Motion 2022/23:1559 — Bibehållande av rätt till tolk inom vården av Matilda Ernkrans och Denis Begic (båda S)
- Motion 2022/23:159 — Jämlik vård av Sofia Skönnbrink och Sanne Lennström (båda S)
- Motion 2022/23:1618 — Psykisk ohälsa kan leda till diskriminering av Ulrika Heie och Martina Johansson (båda C)
- Motion 2022/23:1672 — En levande landsbygd för Sveriges bästa av Annie Lööf m.fl. (C)
- Motion 2022/23:1673 — Jämställdhet för hållbar utveckling av Annie Lööf m.fl. (C)
- Motion 2022/23:1683 — Tydligt uppdrag för primärvården att förebygga ohälsa av Ulrika Heie (C)
- Motion 2022/23:1841 — Bättre behandling för människor med diagnosen ME/CFS av Maria Stockhaus (M)
- Motion 2022/23:1927 — Utvärdering av den svenska missbrukspolitiken av Niels Paarup-Petersen och Alireza Akhondi (båda C)
- Motion 2022/23:1979 — En mer jämlik sjukvård av Linnéa Wickman m.fl. (S)
Source: The Swedish Parliament